HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
ME Building & Code Compliance Division
b r
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Alel'ewe' Gd w d'ey have agreed to be
Co parry Name/Individual Name)
the �('�.�j' / &L
Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at 20 Azma )abir.`vP i-eK et, 1itac4, iFL .3 Yg57
(Projekt Street or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE( ualifier) SU -CONTRACTOR SIGNATU (Qualifier)
A41Lc IkQeh e I— Lu t-F"
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
�p
State of Florida,County of=S ' d'c_ State of Florida,County of
oregoing instrument was signed before me this )//day of The foregoing instrument was signed before me thiday of
20LY,by� L�1°lN_ A� wI 201_Zby sc� L-L1YF"
wh is personally known or has produced a f C, ho is personally known or has produced C_
as identification. as identification.
&JjW�19 STAMP Ate'
ignature of Not V,
Public ignature of Not ub is
C__AAL411-Print Name f No Public Print Name of No ry Public
AUDREY B.HUMPHREY
a,sir ry' AUDREY B.HU
MPHREY
MY COMMISSION FF 174712 ,}.. '= MY COMMISSION FF
c �; ,k7
EXPIRES:March 6,2019 EXPIRES:March 174772
U 712
Revised 11/16/2016 f;?dFhQBondedThruNotarypuWloUnderwriters 4 ddlif% 6 19
L�`'�.:4"�' 1}oh' tart Pub(�c UrMertiy�s
PERMIT# ISSUE DATE
ti t PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Lo we have agreed to be
(Company NamelIndividual ame)
the ,&:?) Sub-contractor for
(Type of Trade (Primary Contractor)
For the project located at 30 p, `Vt a L C(c,S
(Projeot reet Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
�.
CONTRAJCTOR SIGNATURE( alifier) SUB-CONTRAC fSIGNATURE talifier)
�� e bcuei - 2 tea
PRINT NAME PRINT NAMEE
uAr n LJ N T . {
!/t
CO TY CERTIFICATION NUMBER
�j� COUN'� CERTIFICATION NUMBER yra
State of Florida,County a� Cy e l State of Florida,County of i ; l�
foregoing instrument was signed before,me thi£�day of} foregoing instrument was signed before m�eththlol day of
20�by 4 �(`ar=�*t�'j�V� y J •24 "y
ridentification.
nally known or has produced at 1i flt t � o is personally known�or has produced a as identification.
S.
?ggnJatJure of No Public STAMP MP
!960-� rig-nature o No ry ubl c
J
Print Name of Nota Pub ��? D Print Name of Nota Public
AUDREYB.HUMPHREY
MY COMMISSION#FF 174772
AUDREY&HUMPHREY
MY COMMISSION#FF 1747: •. bvs EXPIRES:March 6,2019
F' 6,2W! Bonded Thru Notary Public Underwriters
Revised 11/16/2016 d, EXPIRES:Match 9P,
flr��tbp` Bonded Thru Notary Public Underwf t••
... .